ANGELO MEDINA CALIVOSO

NORFOLK, VA
NPI1740244664
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2006-04-17
Last Update Date2019-01-22
Business Address
Mr. ANGELO MEDINA CALIVOSO MSO
NORFOLK NAVAL BASE - CSU EAST 581 A ST BLDG SP-312 ROOM 115
NORFOLK, VA 23511
Phone number: 757-443-5760
Mailing Address
Mr. ANGELO MEDINA CALIVOSO MSO
36283 VERAMONTE AVE
MURRIETA, CA 92562-6505
Phone number: 619-578-4009